HIV Infections Clinical Trial
Official title:
A Randomized, Pilot Estimation Study to Compare the Safety and Efficacy of Raltegravir+TDF+3TC Versus TDF+3TC+EFV in HBV/HIV Co-infected Patients
In this pilot study, the investigators would examine the safety and efficacy of integrase inhibitor-Raltegravir in the control of HIV/HBV co-infection.
There are in total more than 72939 HIV infected people reported in Yunnan, the largest
number for any province in China. About 800 HIV inpatients are admitted to our hospital
every year, amongst them about 10% co-infected with HBV. HIV and HBV co-infection patients
must receive two drugs active against both HIV and HBV, for example Tenofovir disoproxil
fumarate (TDF)+ lamivudine (3TC) or TDF+FTC. TDF and 3TC are nucleotide analogues that can
inhibit both HIV and HBV DNA polymerases (Dore, Cooper et al. 2004). Combination therapy
could decrease drug resistance. In China, TDF is a second-line drug of the national free ART
program; however FTC is not in the list of free drugs. There is likely higher risk of
causing drug resistance in treating HBV or HIV infection with 3TC or TDF monotherapy than
combination therapy.
Raltegravir inhibits the catalytic activity of HIV-1 integrase, and does not significantly
inhibit human phosphoryl transferases including DNA polymerases α, β, and γ, and may have
less adverse effects. In chronic HBV infection, HBV-DNA does integrate into human DNA which
results in difficulty eradicating HBV from the patient's body.
In this pilot study, the investigators would examine the safety and efficacy of integrase
inhibitor-Raltegravir in the control of HIV/HBV co-infection.
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Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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